Biomechanical Comparison of All-Suture Anchor Fixation and Interference Screw Technique for Subpectoral Biceps Tenodesis

Chiang, Florence L.; Hong, Chih-Kai; Chang, Chih-Hsun; Lin, Cheng Li; Jou, I‐Ming; Su, Wei-Ren

doi:10.1016/j.arthro.2016.01.016

Cited by 56 publications

(54 citation statements)

References 29 publications

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“… 5 reported greater improvement in elbow flexion strength and fewer failures with tenodesis using bony interference screws compared with soft-tissue fixation. Although no clinical studies compared the other fixation devices in vivo, Ramos and Coelho 6 showed in a biomechanical study that biceps tenodesis fixation is strongest with intra-osseous bioabsorbable screws, followed by “anchor techniques” and then “soft tissue techniques.” These findings were confirmed by Chiang et al., 7 who reported smaller displacements and higher failure loads for interference screw fixation.…”

supporting

confidence: 77%

“…When a surgeon decides to perform LHB tenodesis, many options are available with different benefits and drawbacks, though there are no randomized controlled trials to date that compare the outcomes of these techniques. Biomechanical studies 6 , 7 , 8 have revealed that biceps tenodesis fixation is strongest with intra-osseous bioabsorbable screws. It may reduce the incidence of mechanical failure and therefore prevent Popeye deformities.…”

Section: Discussionmentioning

confidence: 99%

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Arthroscopic Biceps Tenodesis Using Interference Screw Fixation in the Bicipital Groove

Amouyel

Moulec

Tarissi

et al. 2017

Arthroscopy Techniques

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Arthroscopic repair of the long head of the biceps (LHB) is performed to treat various biceps pathologies yet the choice between tenotomy or tenodesis remains controversial. Although tenotomy is simpler and quicker, tenodesis results in fewer complications, and there are several techniques available using various fixation devices and sites. This Technical Note describes an all-arthroscopic, suprapectoral tenodesis technique using a bioresorbable interference screw, without motorized devices to create the humeral tunnel in the bicipital groove. The LHB tendon is detached from its glenoid insertion using an arthroscopic cutting instrument or electrocautery. Two portals are created 50 mm distal to the acromioclavicular joint and at 15 mm on either side of the bicipital groove. The arthroscope is introduced through the distal lateral portal till it makes contact with the humerus. The LHB is fastened within its groove using a grasper, reinforced, and then fixed in the humeral tunnel using an interference screw. The present technique is safe, simple, and reproducible. It requires 2 portals in addition to the standard posterior portal and the intra-articular working portal. It minimizes iatrogenic intra-articular damage and thereby limits possible complications. It also limits the intra-articular operative time compared with SLAP repairs.

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supporting

confidence: 77%

Section: Discussionmentioning

confidence: 99%

Arthroscopic Biceps Tenodesis Using Interference Screw Fixation in the Bicipital Groove

Amouyel

Moulec

Tarissi

et al. 2017

Arthroscopy Techniques

View full text Add to dashboard Cite

show abstract

“…Biomechanical studies have been undertaken, with varying results, regarding superiority of fixation techniques, although most seem to be adequate. 18 , 19 , 20 , 21 , 22 Buchholz et al. 18 evaluated intramedullary cortical button fixation compared with interference screw usage and found similar results in regard to stiffness and ultimate failure loads, suggesting that both can be used for subpectoral fixation.…”

Section: Discussionmentioning

confidence: 97%

Subpectoral Biceps Tenodesis: Interference Screw and Cortical Button Fixation

Kennedy

Godin

Ferrari

et al. 2017

Arthroscopy Techniques

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Bicep tendon pathology often arises from chronic overuse injuries, acute trauma, or degenerative changes in the glenohumeral joint. These injuries can cause significant shoulder pain, and can greatly limit range of motion and, in turn, activities of daily living. The diagnosis of biceps pathologies can be challenging, because patients often present with nonspecific symptoms. Some bicep tendon pathologies may be treated nonoperatively; however, biceps tendon subluxation and the presence of rotator cuff or SLAP lesions require surgical management. One of the options for the treatment of bicep tendon pathology includes miniopen subpectoral biceps tenodesis. The purpose of this Technical Note is to describe in detail our preferred operative technique for miniopen subpectoral biceps tenodesis with 2 different fixation methods.

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“…Further, it is likely that the postoperative patient in a sling generates cyclic loading conditions far lower than those tested by various investigators. [6][7][8][9][10][11][12][13] Frank et al 1 reported greater elongation for the suture anchor constructs than interference screw fixation. The advantage of construct stiffness is tempered by 2 negatives: early tendon tearing during cyclic testing and the creation of a torsional stress riser.…”

Section: See Related Article On Page 1760mentioning

confidence: 99%

Editorial Commentary: Size Matters: Biomechanical Analysis of All-Suture Suture-Anchor Fixation Compared to Conventional Suture Anchors and Interference Screws for Biceps Tenodesis

Taylor¹

2019

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Biomechanical Comparison of All-Suture Anchor Fixation and Interference Screw Technique for Subpectoral Biceps Tenodesis

Cited by 56 publications

References 29 publications

Arthroscopic Biceps Tenodesis Using Interference Screw Fixation in the Bicipital Groove

Arthroscopic Biceps Tenodesis Using Interference Screw Fixation in the Bicipital Groove

Subpectoral Biceps Tenodesis: Interference Screw and Cortical Button Fixation

Editorial Commentary: Size Matters: Biomechanical Analysis of All-Suture Suture-Anchor Fixation Compared to Conventional Suture Anchors and Interference Screws for Biceps Tenodesis

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